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Planned and Emergency Cesareans
Reasons Why You May Need a C-section
By Shannon McKelden
This was the case for Heath. After giving birth by C-section for pre-eclampsia with her first child, she delivered her second child by VBAC (vaginal birth after Cesarean). However, this birth was very traumatic, resulting in her son needing to be resuscitated. For her third delivery, she and her doctor agreed to another Cesarean. "Having another C-section instead of another VBAC was a relief," Heath says.
Presentation, Size, Multiples
Other common reasons for planning a Cesarean include a multiple pregnancy, a large baby or an abnormal presentation of the baby.
The latter was the case for Nancy Cavanaugh of Keene, N.H. "I was getting all set for a natural birth when about two weeks from my delivery the ultrasound showed that my baby ... was in the breech position," Cavanaugh says. "We planned the C-section for two weeks later, which was about three or four days before my actual due date. They didn't want me to go into labor and were banking on the first baby being a bit late."
Given Welch says that malpresentation can be a reason for a planned or unplanned Cesarean section. "If the baby is in a breech (feet or buttocks first) or transverse (sideways) position, a vaginal delivery is usually not attempted," she says. "If the malpresentation is noted prior to labor an external cephalic version, or turning procedure, may be considered."
If this procedure is unsuccessful, most likely a C-section will be planned. It is also possible the baby may turn into an unfavorable position before labor, even if prior physician visits showed it in the proper position for delivery.
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Planned and Emergency Cesareans by Cecilia Padilla on 05/29/2009 12:06AM
Dr. Hunt delivered my Princess on August 9th, 2008. She is incredible! Everything went so smooth just as I hoped! i highly recommend her for Houston residents!